Midcity Pharmacy

NPI #1619044914 in Canton, Georgia

Provider Information

NPI Number: 1619044914
Entity Type: Organization
Organization Name: Midcity Pharmacy
Primary Specialty: Pharmacist
Enumeration Date: Nov 29, 2006
Last Updated: Jul 19, 2008

Practice Location

Address: 196 E MAIN ST
City: Canton
State: Georgia
ZIP Code: 30114-2707
Phone: (770) 479-5533

Authorized Official

Name: MR. WILLIAM GRADY CAGLE JR., PHARMIST
Title: OWNER
Phone: (770) 479-5533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacist	183500000X	Primary

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